NPI | 1013759513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WX0106X Registered Nurse, Occupational Health (Licence: MI 4704329197) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704329197) |
Enumeration Date | 2024-06-07 |
Last Update Date | 2024-06-07 |